girl scout gold award proposal form · i will promote cooperation and team building. ... you may...

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1 Girl Guidelines The Girl Scout Gold Award Girl Scout Gold Award Project Proposal Council Name___________________________________________________ Name: _________________________________________________________ Address: _______________________________________________________ City: _______________ State: _______ Zip code: ____________________ E-mail: _________________________ Phone: ____________________ Age: ____ Grade: ______ School: _________________________________ Troop/Group Number: _____ Troop/Group Volunteer: _________________ Troop/Group Volunteer’s Phone: (____ ) _____________ E-mail: __________ Girl Scout Gold Award Project Advisor: _________________________________ Project Advisor’s Organization: _______________________________________ Project Advisor’s Phone: (____ ) _____________ E-mail: __________________ You must submit this form to your local GSHG Program Staff member two weeks prior to your local Gold Award Committee’s meeting date. Gold Committee Mentor: _____________________________________________ Mentor’s Phone: (____) _________________ E-mail: _____________________

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Page 1: Girl Scout Gold Award Proposal Form · I will promote cooperation and team building. ... You may want to use this to prepare a budget for your Gold Award ... Girl Scout Gold Award

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Girl Guidelines The Girl Scout Gold Award

Girl Scout Gold Award Project Proposal

Council Name___________________________________________________

Name: _________________________________________________________

Address: _______________________________________________________

City: _______________ State: _______ Zip code: ____________________

E-mail: _________________________ Phone: ____________________

Age: ____ Grade: ______ School: _________________________________

Troop/Group Number: _____ Troop/Group Volunteer: _________________

Troop/Group Volunteer’s Phone: (____ ) _____________ E-mail: __________

Girl Scout Gold Award Project Advisor: _________________________________

Project Advisor’s Organization: _______________________________________

Project Advisor’s Phone: (____ ) _____________ E-mail: __________________

You must submit this form to your local GSHG Program Sta� member two weeks prior to your local Gold Award Committee’s meeting date.

Gold Committee Mentor: _____________________________________________

Mentor’s Phone: (____) _________________ E-mail: _____________________

Page 2: Girl Scout Gold Award Proposal Form · I will promote cooperation and team building. ... You may want to use this to prepare a budget for your Gold Award ... Girl Scout Gold Award

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Girl Guidelines The Girl Scout Gold Award

Prerequisites: Two Senior or Ambassador journeys or one journey and the Girl Scout Silver Award. List two journeys that you have completed along with your troop/group volunteer’s signature.

Senior/Ambassador Journey Books/

Date Completed

Troop/Group Volunteer’s Signature

Girl Scout Silver Award Completion

:etaD

Council Where You Earned the Award:

Brief Description of your Silver Award:

Your Team

List the names of individuals and organizations that you plan to work with on your Take Action project. This is a preliminary list that may grow through the course of your project.

More Team Members

Affiliation Role

2. Books:

2. Project:

1. Books:

1. Project :

Page 3: Girl Scout Gold Award Proposal Form · I will promote cooperation and team building. ... You may want to use this to prepare a budget for your Gold Award ... Girl Scout Gold Award

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Girl Guidelines The Girl Scout Gold Award

Take Action Project

Project Title: _____________________ Proposed Start Date: ___________________

Proposed Completion Date: ________________________

A. Describe the issue your project will address and who is your target audience. Remember your 15-second pitch.

B. Discuss your reasons for selecting this project.

C. Outline the strengths, talents, and skills that you plan to put into action. What skills do you hope to develop?

D. Describe the steps involved in putting your plan into action, including resources, facilities, equipment, and approvals needed. (Attach a detailed project plan and timeline.)

E. Enter the names of people or organizations you plan to inform and involve.

Page 4: Girl Scout Gold Award Proposal Form · I will promote cooperation and team building. ... You may want to use this to prepare a budget for your Gold Award ... Girl Scout Gold Award

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Girl Guidelines The Girl Scout Gold Award

F. Estimate overall project expenses and how you plan to meet these costs.

G. What methods or tools will you use to evaluate the impact of your project?

H. How will your project be sustained beyond your involvement?

I. Describe how you plan to tell others about your project, the project’s impact, and what you have learned (Web site, blog, presentations, posters, videos, articles, and so on).

Include a budget sheet (see example attached.)

Page 5: Girl Scout Gold Award Proposal Form · I will promote cooperation and team building. ... You may want to use this to prepare a budget for your Gold Award ... Girl Scout Gold Award

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Girl Guidelines The Girl Scout Gold Award

Impact Planning

Using the Impact Planning Chart, describe the impact you hope your project will have

on your community, your target audience, and you.

Impact On . . . Goals Potential Impact Community What community issue do you

plan to address?

What examples of

the project impact

might you see in

future?

Target Audience

(workshop participants,

other youth, community

members, and so on)

What skills, knowledge, or

attitudes will your target

audience gain?

How will you know

that the target

audience gained

skills or knowledge?

Page 6: Girl Scout Gold Award Proposal Form · I will promote cooperation and team building. ... You may want to use this to prepare a budget for your Gold Award ... Girl Scout Gold Award

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Girl Guidelines The Girl Scout Gold Award

The following is a list of the 15 Girl Scout Leadership Outcomes.* Which do think you will develop through this project?

Discover:

I will develop a stronger sense of self.

I will develop positive values.

I will gain practical life skills.

I will seek challenges in the world.

I will develop critical thinking.

Connect:

I will develop healthy relationships.

I will promote cooperation and team building.

I will resolve conflicts.

I will advance diversity in a multicultural world.

I will feel more connected to my community, locally and globally.

Take Action:

I will identify community issues.

I will be a resourceful problem solver.

I will advocate for myself and others, locally and globally.

I will educate and inspire others to act.

I will feel empowered to make a difference in the world.

*Want more information on the Girl Scout Leadership Outcomes? Visit www.girlscouts.org/research/publications/outcomes/transforming_leadership.asp

Your Signature: ________________________________ Date: ______________

Project Advisor’s Signature: ___________________________ Date: __________

Gold Award Mentor’s Signature: _________________________ Date: ________

__ _______________________ Date: _________ GSHG Program Staff Member:

.

Page 7: Girl Scout Gold Award Proposal Form · I will promote cooperation and team building. ... You may want to use this to prepare a budget for your Gold Award ... Girl Scout Gold Award

Preparing for your Gold Award Proposal Meeting with the GSHG Gold Award Committee

• When you have finished preparing your proposal, and your Gold Award Committee Mentor has signed it, turn it in to your local GSHG Program Staff member, at least two weeks ahead of the scheduled Gold Award Committee meeting (dates of Gold Award Committee meetings, as well as the paperwork deadlines for all areas are on the GSHG.org website). Please submit the proposal electronically as well as by hard copy with original signatures.

• When your proposal is received, your local GSHG Program staff member will contact you and give you an appointment time to appear before the Gold Award Committee, and let you know where the meeting will be held.

• You should wear your Girl Scout uniform or business attire with your Girl Scout pins, scarf and vest or sash to the meeting.

• At the meeting, you will be given 5-10 minutes to present the details of your proposal to the Committee members. Your Committee Mentor will be there, as well as other Committee members. During the initial presentation, family members, friends, troop advisors, etc. are not permitted to be in the room with you.

• Plan to bring some sort of visual aid to the meeting, such as a display board, photographs, artwork or a PowerPoint presentation – anything which will help you illustrate your unique project. Remember that the Committee members have already read your proposal, and they are interested in knowing additional details about your project, as well as hearing about why your project is important to you.

• After your presentation, the Committee will be given a chance to ask you any questions they may have about your project and to offer suggestions of resources, people, ideas, etc. Then, you will be asked to leave the room for a few minutes while the Committee discusses your proposal. You will then be asked to return to the Committee room. If you have brought any support people with you such as family members, troop advisors or sister Girl Scouts, they may come into the room with you to hear the Committee’s decision. Your Gold Award Committee Mentor will take notes for you during this meeting, and share them with you in the week following the meeting.

• The Committee will tell you one of three things at this time: 1. Your Gold Award project proposal is approved as is. You may begin your

project at once. You will receive an official letter of Gold Award project proposal approval by email.

2. Your Gold Award project proposal is approved contingent upon the completion of one or a few more items. You may not begin work on the actual project until you have completed those preliminary items and your Gold Award Committee Mentor has approved them. Your Mentor will then notify the GSHG Program staff member, and you will at that point receive your project approval letter and be able to begin your project.

Page 8: Girl Scout Gold Award Proposal Form · I will promote cooperation and team building. ... You may want to use this to prepare a budget for your Gold Award ... Girl Scout Gold Award

3. Your Gold Award project proposal is not approved. You must return to the Committee after re-working your proposal in order to get your proposal approved.

Most girls who come to the Committee will hear option number two above. It is not at all unusual to have overlooked a detail or two in preparing your proposal, even with the help of your Committee Mentor and other advisors. If you follow the guidelines carefully and work closely with your Gold Award Committee Mentor, you will be successful.

• At this point you will be given the opportunity to ask any questions you may have, and the support people who have attended with you may also ask questions.

• Within the days following the meeting, your Gold Award Committee Mentor will email you the notes from the meeting so that you will have a record of the Committee comments, along with any suggestions or contacts they may have given you to assist in the completion of your project.

Any questions about this process should be directed to your Gold Award Committee Mentor. Part of earning the Gold Award is learning to work with others in a team to accomplish your goals. The importance of working with your Mentor cannot be overemphasized. Girls who work closely with their Committee Mentors have the greatest success.

Page 9: Girl Scout Gold Award Proposal Form · I will promote cooperation and team building. ... You may want to use this to prepare a budget for your Gold Award ... Girl Scout Gold Award

Budget and Expense Report Name: ____________________Troop #/Group: __________ Address: _____________________________City:_________________ State: __________________________ Zip:________________ Phone Number: _____________________(H) ____________________ (C) EMAIL:____________________________________________________ You may want to use this to prepare a budget for your Gold Award Project. Keep track of your expenses so that you always see how you are doing compared to what you expected to do. If you have more entries to make than these tables allow, attach additional sheets. Income Report Source of Income Anticipated Amount Actual Amount Total Income: ___________________ Expense Report Item Anticipated

Expense Date Purchased

Where Purchased

Actual Expense

Total Expense: _________________________ Actual Expense: _________________________